A hot button is a topic in someone's mind that when discussed makes them offended or very passionate about the issue. These things can be about people, religion, politics, possessions or passions.
When I talked to my girlfriend about her dead father, she got really pissed off and slapped me in the face. I guess that was a hot button issue for her.
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Bill: hey girl can I press your hot button?
Lexi: oh bill yes you can touch my hot button
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When a guy is sleeping and has a wet dream and ejaculates into his belly button.
Dude, Last night was so weird, I had a dream I was having the sex, and i woke up to a belly button hot tub.